This National Eating Disorders Awareness Week (23 February to 2 March), I’d like to remind children and young people who are struggling with disordered eating that you’re not alone.
I was a confident and happy child, but from a young age I was surrounded by diet culture that made me believe my body should be smaller. What began as insecurity when I was five, slowly developed into years of disordered eating and anorexia. At times, I felt consumed by food, calories, and the pressure to shrink myself. Even when I seemed ‘fine’, I was struggling more than anyone realised.
If you’re reading this and recognise yourself, please know support is available. An eating disorder is not your fault, and you deserve help and compassion. Reaching out for help can feel frightening – I remember that feeling well – but it’s also the first step towards getting better.
Talk to someone you trust, whether that’s a friend, teacher, parent or GP. And if speaking to someone you know feels too difficult, you can contact the NSPCC’s Childline service anonymously by calling 0800 1111 or visit: www.childline.org.uk.
You don’t need to have the right words or even know exactly what’s wrong – they will listen, without judgement, and help you find a way forward.
No one should face an eating disorder alone. Reaching out for support is an act of real courage, and the first step towards recovery.
With all my best wishes, Lauren* (age 24) from Scotland
NSPCC Lived Experience Advocate
*Lauren is not her real name – she requested that we protect her identity
NSPCC service, Childline, is hearing from young people who have concerns about their body image and eating disorders.
Statistics
In 2024/25, Childline delivered 3,421 counselling sessions where the main concern was eating/body image disorders.
During the same time, Childline delivered almost 1,000 counselling sessions where a young person mentioned body image issues.
Childline delivered over 970 counselling sessions where a young person mentioned calorie and/or food restriction.
A child’s age was known in 73% of counselling sessions about eating/body image disorders. Of these, almost two thirds (59%) were with young people aged 12-15, 35% of counselling sessions were with children aged 16-18, while 6% were with children aged 11 and under.
Key Concerns
In counselling sessions on body image and eating disorders, the main topics that children mentioned include:
24-year-old Lauren* from Glasgow, whose name has been changed to protect her identity*, said: “From as young as five, I was having body image insecurities. I would look at different parts of my body and think it wasn’t good enough or try to measure the size of my stomach.
“When I got to secondary school my eating disorder habits started, and I began to manipulate my food intake.
“Restricting my food intake was a way of staying in control. I would have juice and water throughout the day in school and then go home and have my dinner so no one would notice. I was trying to be as secretive about it as possible.
“When I was at university and the pressure started to build academically, I felt I needed to put more discipline into my routine and that included food, exercise and weight loss. I started calorie counting and restricting my food intake again.
“I ended up unconscious after a night out due to the impact on my body from not eating, alongside drinking alcohol. The next day my friend booked me a doctor’s appointment, came with me and spoke on my behalf because she was so worried.
“Then I was admitted to an NHS specialised treatment programme for eating disorders. Unfortunately, I didn’t find the service very helpful and eventually sought private support instead.
“This is when I found a coaching programme which is carried out by someone who has been through the process of eating disorder recovery themselves and is action focused.
“I know how to protect myself now and I am much better than I ever thought I would be. I’m not fully recovered yet, but I would say I am 90% of the way there and I believe it’s possible.
“My advice to anyone struggling with disordered eating or body image concerns, is that if people only found you interesting or only liked you because you could shrink your body, then they’re not the type of people that you need to have in your life anyway.”
Snapshots
Body image issues
“I hate my body. I wish it was more muscly, more manly. I go to the gym loads but I still feel uncomfortable in there knowing how small I look to everyone”Boy, 15, Childline, Scotland
Binge eating
“Home is so stressful, I feel like none of us get on anymore. When I can’t take it anymore, I end up binge eating and it’s been going on so long that I’ve gained a lot of weight. I’m so tired of it all but I feel like it’s only going to get worse”Girl, 15, Scotland
Calorie and/or food restriction (undiagnosed)
“It started a few months ago, seeing other girls’ bodies in PE made me feel so fat besides them. I tried to ask my mum about losing weight and she was a bit dismissive, so I knew I needed to tackle it myself. I put myself on very low calories, which is working, but I have been fainting, feeling really exhausted, and stopped focusing at school. I think I know this isn’t the right way to do it, but is it that bad if no one has even noticed I’m doing it yet?” Girl, 16, Childline
Purging (e.g. vomiting and laxatives)
“This girl at school would always call me fat. My friends are all skinny, the girls I see on TikTok are skinny. I started purging and skipping meals last year and I’m finally skinny, but mum finally noticed and gets angry when I don’t eat properly. I can’t go back to eating 3 meals a day again, I can’t go back to being fat” Girl, 12, Childline
Overexercising
“It’s got to the point where I feel I can’t control myself. I didn’t want to be that ‘fat’ boy anymore, so I started working out and running. I started doing it every day, then twice a day, then at lunch times and now I even sneak out at night to exercise. I know I have a problem, but I’m scared my family will make me stop all together if I tell them what’s going on.” Boy, 15, Childline
Shaun Friel, Childline Director, said: “With the warm weather continuing and families planning their summer holidays, young people might be finding themselves in positions where they feel anxious about their body image.
“To cope, some young people are taking drastic measures, such as restricting their food intake or purging once they have eaten. Some children tell us that unrealistic beauty standards are affecting their wellbeing and self-worth, with many comparing themselves to others, such as classmates and influencers in the media.
“Childline wants every young person to know that whatever they’re going through our trained counsellors are here to listen without judgment.
“No child should struggle alone with these feelings, and seeking help is always a sign of strength, not weakness.”
Tips for parents
Model positive body talk: Be mindful of how you speak about your own body and others’ bodies in front of your children. Avoid negative comments about weight, appearance, or comparing yourself to others, as children often copy what they hear.
Focus conversations on health and wellbeing, not appearance: When discussing food and exercise, emphasise feeling strong, energetic, and healthy rather than looking a certain way. Celebrate what bodies can do rather than just how they look.
Take concerns seriously and listen without judgment: If your child expresses worries about their body or eating habits, avoid dismissing their feelings or saying, “you look fine.” Listen carefully and offer support, seeking professional help if needed.
Discuss what they see in the media: Help your child understand that images online and in media are often edited or unrealistic. Encourage critical thinking about what they see and limit exposure to content that promotes unrealistic beauty standards.
Watch for warning signs: Be alert to changes in your child’s eating habits, mood, exercise patterns, or social withdrawal. Early intervention is important, so don’t hesitate to seek professional support if you notice concerning behaviours around food or body image. Adults can contact our NSPCC Helpline with any concerns about a child.
Tips for children and young people
Remember that social media isn’t real life: Photos and videos online are often edited, filtered, or show just one perfect moment. What you see doesn’t represent how people actually look or live every day.
Focus on what your body can do, not just how it looks: Your body is amazing at so many things like dancing, hugging friends, creating art, or playing sports. Try to appreciate all the incredible things it helps you accomplish.
Talk to someone you trust: If you’re feeling worried about your body or food, speak to a parent, teacher, school counsellor, or contact Childline. You don’t have to deal with these feelings alone.
Be kind to yourself: Try to speak to yourself the same way you would speak to a good friend. Would you tell a friend they look terrible? Practice being gentle and encouraging with yourself too.
Limit comparing yourself to others: Everyone’s body is different and that’s completely normal. Instead of comparing, try to celebrate what makes you unique and focus on being healthy and happy rather than looking like someone else.
Young people can contact Childline on 0800 1111 or via 1-2-1 chat on www.childline.org.uk
Adults with concerns about a child can contact the NSPCC Helpline by calling 0808 800 5000 or emailing help@NSPCC.org.uk.
People affected by an eating disorder can expect higher and more consistent standards of care following the roll-out of new national guidance for services.
The publication of a national specification will support both the NHS and local services to deliver person-centred, safe and effective care. The new guidance was developed by a working group of experts with academic and clinical practice experience, alongside people affected and their families.
The blueprint aims to ensure that everyone has access to a high-quality standard of service regardless of what stage they are in their recovery and is for care across all stages of treatment, from primary care to specialist inpatient care.
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Mental Wellbeing Minister Maree Todd said: “We want to create a more supportive, accessible, and effective care system for everyone affected by eating disorders.
“This new guidance is another step on the way to delivering the recommendations from the National Review of Eating Disorder Services and I am grateful to all those involved in putting it together.
“The full implementation of this specification has been a long-term goal but by working alongside clinicians, patients and their families, we aim to build a brighter, healthier future for everyone affected by eating disorders in Scotland.”
Chair of the National Eating Disorder Network Professor Cathy Richards said: “I’m delighted that the national specification has now been published and want to recognise the hard work of all who have been involved in its development. It is a privilege to work with such a committed group of stakeholders.
“I want to recognise the dedication of those delivering vital care and treatment amidst real and pressing challenges.
“I look forward to working with everyone involved to develop local, regional and national improvements to ensure the new national standards are delivered consistently to benefit all those affected by eating disorders.”
Co-Chair of the National Eating Disorder Specification Working Group, Lived Experienced Peer Researcher, Ellen Maloney said: “The launch of new national guidance is important to make sure that everyone in Scotland who experiences an eating disorder can access the right help at the right time.
“I hope these standards will make a real difference for people with eating disorders, providing the care and support they need.”
Eating disorders and body image issues were the sixth most common concern brought up by children and young people in Scotland contacting Childline last year (April 2022 – March 2023), with 273 counselling sessions carried out on the issue.
Childline, the counselling service run by the NSPCC, has also revealed that 40 per cent of counselling sessions with children across the UK about these issues took place in the summer months (June to September).
There are number of factors that make the summer holiday a particularly tricky time for young people struggling with their body image or relationship with food.
For some, the prospect of wearing clothing which shows more of their body can make them feel under pressure to look a certain way, lose weight or change their appearance.
This pressure can be reinforced by content they are exposed to online that makes them feel negatively about the way they way look.
At Childline, there is always someone to talk to. Our counsellors are there to listen and offer support and advice every day of the year on 0800 11111 or at www.childline.org.uk
Childline delivered more than 4,000 counselling sessions, including 273 in Scotland, to children and young people with worries around body image and eating disorders
40% of these counselling sessions take place during the summer – June to September
Childline reminds children the service is here to support them during holidays
Childline, the counselling service run by the NSPCC, reveals new data showing that 40% of all the counselling sessions they delivered last year on eating disorders and body image took place in the summer months (June to September).
Across the whole year – April 2022 to March 2023 – Childline delivered 4,179 counselling sessions to children struggling with these issues. 273 of these were in Scotland.
1656 (40%) of those counselling sessions based on these topics took place from June to September , the lead up to and the duration of the six-week summer break.
Eating disorders and body image issues were the 6th most common concern for children contacting Childline in 2022/23 in Scotland.
During this year’s summer holiday, Childline knows that many children might be struggling to cope with these issues and wants to remind them that their trained counsellors and online services are here to support them.
Childline insight
Common themes that came out of Childline counselling sessions on body image and eating disorders include:
Comparisons to friends, siblings, and people on social media
Guilt around eating particular “bad” foods or guilt about eating at all
Negative comments from family, friends, bullies, and partners about their weight and body often contributes to body image concerns
Weight worries linked to lockdown, gaining weight due to lockdown inactivity or stress
Not knowing how to manage weight or fitness without going to extremes
Cancelling plans due to body image issues
Childline knows that there are number of factors that make the summer holiday a particularly tricky time for children and young people struggling with their body image or their relationship with food.
For some, the prospect of wearing clothing which shows their body more can make them feel under pressure to look a certain way, that they need to lose weight or change their appearance.
For others, this pressure is also reinforced as many will be spending more time online during the summer months to keep in touch with their friends and to stay entertained. As a result, we know many children may be exposed to more content online that might make them feel negatively about the way they way look.
Additionally, children who struggle with eating disorders might find a change in their day-to-day routine and eating habits over the summer period difficult to cope with.
A girl in Scotland aged 16 who reached out to Childline said*: “How is Tiktok full of so many beautiful people and I look like this? I stare out at my face in the mirror and can only see what needs fixing. My lips, my nose, my eyes, my cheeks. Even my friends agree my nose is huge. Make up doesn’t do what surgery and fillers can do.”
A boy aged 13 told the service: “I feel so guilty every time I eat. I’ve been trying to be healthy and cut down on food, but it doesn’t seem to be helping. My older siblings are all so skinny, everyone says they’re so handsome and look like models, then there’s just me. It’s been upsetting me so much lately, thank you for letting me offload how I’m feeling.”
Support
Kieran Lyons, Service Head of Childline said: “Every year our trained counsellors speak to hundreds children in the run up to and during the summer holidays who are struggling with their body image or eating disorders.
“Summer can be a really a tough time for anyone who is already dealing with these issues, and it also can be a time which can make others who ordinarily felt happy with their body image begin to feel negatively.
“Regardless of your situation or your worries, Childline is here to ensure that no child is left to cope alone with any worry they have.
“If you are struggling with your body image or an eating disorder, we want you to know that Childline is here to help, and we can support you on what you can do and how to make things feel better.”
If there is a young person in your life struggling with their body image or an eating disorder here are some tips on how best to support them:
Remind them that how they look is part of who they are and that their personality, achievements and the way they behave is important too.
Images they may see on TV, in magazines, in social media or online are often altered and airbrushed so what they are seeing isn’t always real.
Remind them that everyone is different and not to compare themselves to anyone else. Accepting themselves is all about them noticing things they are happy and unhappy about and realise that is what makes them unique.
To help build their confidence encourage them to spend time focusing on a hobby they enjoy.
Also, it may help if they write down every morning a few things they like about themselves.
All children can speak to a trained counsellor over the phone on 0800 1111, via email or on a 121 chat on the Childline website.
Children can also visit the website to find more advice on any concerns or questions they may have on body image and eating disorders and they can also use the service’s monitored message boards to get support from their peers.
The UK’s eating disorder charity Beat is partnering with NHS Lothian CAMHS to provide a peer support programme for young people experiencing eating disorders and for parents and carers of people with the illnesses, thanks to funding received from the Scottish Government of £100,000 over three years.Continue reading Eating disorder charity and NHS Lothian launch peer support for parents
